咀嚼口香糖对老年胃肠手术患者胃肠功能恢复的影响  

Influence of chewing gum on recovery of gastrointestinal function in elder patients after gastrointestinal operation

作　　者：黄艳青[1] 凌玉芳[1] 黄秋环[1] 黄梅雪[1] HUANG Yan-qing;LING Yu-fang;HUANG Qiu-huan;HUANG Mei-xue(Affliated Hospital of Youjiang Medical College for Nationalities,Baise 533000,China)

机构地区：[1]右江民族医学院附属医院,广西百色533000

出　　处：《中国误诊学杂志》2012年第17期4500-4502,共3页Chinese Journal of Misdiagnostics

摘　　要：目的探讨咀嚼口香糖对老年胃肠手术患者术后胃肠功能恢复的影响。方法将60例年龄〉60岁且行胃肠手术的患者随机分为A组(常规组)、B组(早期康复组)、C组(口香糖咀嚼组)。每组20例。A组患者接受胃肠手术术后常规护理;B组患者在此基础上给予术后早期胃肠功能恢复锻炼,如床上活动、腹部按摩、缩肛运动等;C组患者于常规护理基础上,在术后8~12h开始咀嚼口香糖。每天3次,每次15~20min。记录并比较3组患者术后恢复肛门排气时间,术后口干、口臭、恶心、腹胀等不适症状发生情况,术后住院时间。结果术后恢复肛门排气时间,B、C组较A组均明显缩短,差异有统计学意义(P〈O.05);术后不适发生情况C组少于A、B组。差异有统计学意义(P〈0.05);术后住院时间比较,3组间没有明显差异(P〉0.05)。结论咀嚼口香糖可以促进老年胃肠手术患者术后肠蠕动的恢复,预防腹胀,消除术后口干、口臭等不适症状且方法简便安全,可以作为术后辅助治疗在临床上推广使用。Objective To investigate the effect of chewing gum in the recovery of gastrointestinal function in elder pa-tients after gastrointestinal surgery.Methods A total of 60 patients who were older over 60 years and had taken gastrointestinal operation were randomly divided into group A(control group),group B(early rehabilitation group),group C(chewing gum group),20 cases in each group.Patients in group A underwent gastrointestinal operation con-ventional postoperative care;patients in group B were given early functional training based on the usual care,such as bed activity,abdominal massage,anal contraction movement$patients in group C received routine nursing care and were asked to chew gum One 8~12 h after surgery,3 times per day and 15~20 minutes each time.Then to compare the differences between the those groups in complaints such as postoperative xerostomia,bad breath,nausea and ab-dominal distention;The first time of postoperative flatus and postoperative hospital stay.Results In the time of postoperative flatus,group B and C were significantly shorter than A group(P〈0.05);The postoperative discomfort occurred in group C less than group A and B(P〈0.05);Compared the postoperative hospital stay between the 3 groups,there was no significant difference(P〉0.05),Conclusion Chewing gum can promote intestinal peristalsis recovery of senium patients after gastrointestinal operation,and prevent abdominal distension,eliminate postoperative xerostomia,bad breath and other symptoms,As a simple,convenient and safe procedure,gum chewing can be used as an accessory therapy in ree0very of gastrointestinal function after operation.

关 键 词：咀嚼 口香糖 消化系统外科手术 胃肠活动 

分 类 号：R656[医药卫生—外科学]